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General NPI Number Information
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NPI Number | 1114559317
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Entity Type | Organization
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Legal Business Name | DH OPTOMETRIC SOLUTIONS INC
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 170 E CORRAL AVE STE 1
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City | SOLDOTNA
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State | AK
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Zip | 99669-7548
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Country | US
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Telephone | 907-262-3168
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Fax | 888-220-2134
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Provider Business Mailing Address
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Address Line | 170 E CORRAL AVE STE 1
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City | SOLDOTNA
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State | AK
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Zip | 99669-7548
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Country | US
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Telephone | 907-262-3168
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Fax | 888-220-2134
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DAVID JUSTIN HOLDGRAFER
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Credential | O.D.
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Telephone | 317-506-7839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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